﻿<%@ Page Title="" Language="C#" MasterPageFile="~/Admin/Page.Master" AutoEventWireup="true" CodeBehind="OderForInsurance.aspx.cs" Inherits="HealthInsuranceMgm.Admin.OderForInsurance" %>
<asp:Content ID="Content1" ContentPlaceHolderID="ContentPlaceHolder1" runat="server">
    <script src="../Scripts/jquery-1.7.2.min.js" type="text/javascript"></script>
    <script src="../Scripts/jquery.validate.min.js" type="text/javascript"></script>
    <link href="../Styles/styleJs.css" rel="stylesheet" type="text/css" />
   <script type="text/javascript">
       $(document).ready(function () {
           $("#frmoderInsuracnce").validate({
               errorElement: "span"
           });

       });
    </script>
    <form id="frmoderInsuracnce" runat="server">
        <fieldset>
          <legend><h3>Oder for Insurence Policy</h3></legend>
        <table>
            <tr>
                <td>Policy Id:</td>
                 <td>
                     <asp:DropDownList ID="ddlpolicyId" runat="server">
                     </asp:DropDownList>
                 </td>
            </tr>
             <tr>
                <td>Policy Name:</td>
                 <td><asp:TextBox ID="txtpolicyname" CssClass="required" runat="server" Width="183px"></asp:TextBox></td>
            </tr>
             <tr>
                <td>Policy Amount:</td>
                 <td><asp:TextBox ID="txtpolicyamount" CssClass="required number" runat="server"></asp:TextBox></td>
            </tr>
             <tr>
                <td>EMI:</td>
                 <td><asp:TextBox ID="txtemi" runat="server" CssClass="required number" Width="127px"></asp:TextBox></td>
            </tr>
              <tr>
                <td>Request Date:</td>
                 
                       <td><asp:TextBox ID="txtrequestdate" CssClass="required date" runat="server" Width="127px"></asp:TextBox></td>
                
            </tr>
              <tr>
                <td>Company Name:</td>
                 <td><asp:TextBox ID="txtcompanyname" CssClass="required" runat="server" Width="191px"></asp:TextBox></td>
            </tr>
             <tr>
                <td>Company Id:</td>
                 <td><asp:TextBox ID="txtcompanyid" CssClass="required number" runat="server" Width="191px"></asp:TextBox></td>
            </tr>
            
             <tr>
                <td></td>
                 <td>
                     <asp:Button ID="btnadd" runat="server" Text="Add" />
                     <asp:Button ID="btnReset" runat="server" Text="Reset" 
                         onclick="btnReset_Click" />
                 </td>
            </tr>
             <tr>
                <td></td>
                 <td></td>
            </tr>
        </table>
    </fieldset>
    </form>
</asp:Content>
